Alicia Mingo, LPN, CCHC, CBS, CBE,

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20160175 Issued in LA

Practice address

9250 Dean Rd Apt 2112
Shreveport, LA 71118-2851

Phone

(318) 219-6640

NPI assigned

Mar 16, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Birth Well Shreveport Nonprofit Corporation

  • Doula
  • Shreveport, LA
  • NPI 1710850870

  Community Health Worker

  NPD Authorized official
• Happy Healthy Pregnancy LLC

  • Doula
  • Shreveport, LA
  • NPI 1356214498

  Community Health Worker

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1215512686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 TEXAS AVE UNIT 38602",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711335116",
            "telephone_number": "318-219-6640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 DEAN RD APT 2112",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182851",
            "telephone_number": "318-219-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINGO",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "LPN, CCHC, CBS, CBE,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20160175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Rehabilitation and Resource Center
• Mind Rehabilitation and Resource Center
• Mind Rehabilitation and Resource Center, Inc
• Mindful Counseling
• Mindset Matters Behavioral Health LLC.
• Crystal Mingo
• Freddie Mingo
• Minimally Invasive Surgery Center of Louisiana
• Lerhonda Minniefield
• Anil Minocha, MD

• Licensed Practical Nurse in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Licensed Practical Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.